The connection between the pill and mental ill health was observed in a Danish study, which found the use of hormonal contraception was linked to subsequent use of antidepressants and a first diagnosis of depression, especially among adolescents. “It could make them feel more depressed, more anxious, or irritable.” “It’s important that women are aware that the pill could affect their mood,” Dr Worsley says. This can result in mood changes which Jean Hailes’ clinical advisor, Dr Rosie Worsley, says are worth looking out for. Namely progesterone, which the authors say can decrease concentrations of serotonin (the happiness and mood-regulating hormone) and therefore worsen mood symptoms. While progesterone and oestrogen are necessary for preventing pregnancy, they also influence your brain chemistry. “Pills using lower strengths of these seem to be less likely to cause mood changes.”Ī pill’s hormone composition can increase or neutralise your risk of developing low mood or poor mental health, so between your Yaz, Mirena, Levlen, and myriad of other pill options, Prof Kulkarni says it’s all about fitting the right pill to the right person. “Pills include ingredients called progestogens, or a mix of progestogens and oestrogens,” Prof Kulkarni explains. Lead author Professor Jayashri Kulkarni says it’s all to do with progesterone and oestrogen, which are the star hormones of most oral contraceptive pills on the market. The oral contraceptive pill is a convenient and widely used form of birth control, but new Australian research has explored the adverse effect it can have on mood – and in some cases perpetuate depression. Hypothyroidism (underactive thyroid).Between PMS, changes in weather, general life and whatever else makes us moody, new research suggests the contraceptive pill may also be to blame. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). doi:10.1186/s40692-7Īmerican College of Obstetricians and Gynecologists. “Since I’m a little bit more mature”: contraception and the arc of time for women in midlife. Association of hormonal contraception with depression. Skovlund CW, Mørch LS, Kessing LV, Lidegaard Ø. Effects of hormonal contraceptives on sleep - a possible treatment for insomnia in premenopausal women. Progestin-only hormonal birth control: pill and injection.īezerra AG, Andersen ML, Pires GN, Tufik S, Hachul H. Progestin-only (norethindrone) oral contraceptives.Īmerican College of Obstetricians and Gynecologists. What are the side effects of the birth control pill? International Journal of Gynecology & Obstetrics. A population-based survey on the influence of the menstrual cycle and the use of hormonal contraceptives on sleep patterns in São Paulo, Brazil. Hachul H, Andersen ML, Bittencourt L, Santos-Silva R, Tufik S. Hormonal contraceptive use and subjective sleep reports in women: an online survey. People who menstruate can experience increased sleepiness and insomnia during the premenstrual period (also called luteal phase).īezerra AG, Andersen ML, Pires GN, et al. The menstrual cycle can also affect sleep and wakefulness. Start the combination pill right away, but if it has been more than five days since you have had menstrual bleeding, abstain from sex or use a backup method (such as a condom) for the next seven days. Switching from mini-pill to combination pill: Take your mini-pill immediately, abstain from sex or use a backup method for the next two days if it has been more than five days since you experienced menstrual bleeding. Switching from combination pills to mini-pill: Start the new combination pill right away, but if it has been more than five days since menstrual bleeding started, use a backup method (such as a condom) or abstain from sex for the next seven days.Start the pack of the new method on the day you would have started the first day of the old pack. Finish the entire pack, including the fourth week placebos, from your old method.Options for switching between combination pills: There are different strategies to choose from, depending on the type of pills you are using. If you want to switch birth control pills, talk to your healthcare provider.
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